4. When using a mucolytic drug and a bronchodilator in a nebulizer, the highest priority instruction that the nurse should give the client is that the _____ should be given _____ minutes before the _____.

a.

mucolytic drug; 30; bronchodilator

b.

bronchodilator; 30; mucolytic drug

c.

mucolytic drug; 5; bronchodilator

d.

bronchodilator; 5; mucolytic drug

ANS: D

The bronchodilator is given to open the airway, followed by the other medication.

5. Clients taking a theophylline drug must be aware of herbal drug(s) that may cause drug interaction. Which is an herb that can cause cardiac dysrhythmias and theophylline toxicity when taken with theophylline?

a.

Ginkgo

b.

Ginseng

c.

Ginger

d.

Ephedra

ANS: D

Ephedra is a stimulant that potentiates theophylline. Ephedra stimulates the sympathetic nervous system.

13. The client is ordered to receive Mucomyst after an overdose of acetaminophen. The nurse recognizes that the most effective time for the client to receive the drug is _____ hours after the overdose.

a.

8 to 12

b.

12 to 24

c.

24 to 36

d.

36 to 48

ANS: B

Mucomyst should be given 12 to 24 hours after an acetaminophen overdose in order to be effective.